Injuries to the shoulder and upper arm (S40-S49)

Instructional notes

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).

• Application of 7th Characters in Chapter 19 (page 77)
• Coding of Injuries (page 78)
• Coding of Traumatic Fractures (page 79)
• Coding of Burns and Corrosions (page 80)
• Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
• Adult and child abuse, neglect and other maltreatment (page 85)
• Complications of care (page 85)

Read Section I.C.19 (page 77)

Codes under S40-S49

S40-S49 can't be used on a claim. Pick a billable code below; grey headings group them.

• S40Superficial injury of shoulder and upper arm
• S41Open wound of shoulder and upper arm
• S42Fracture of shoulder and upper arm
• S43Dislocation and sprain of joints and ligaments of shoulder girdle
• S44Injury of nerves at shoulder and upper arm level
• S45Injury of blood vessels at shoulder and upper arm level
• S46Injury of muscle, fascia and tendon at shoulder and upper arm level
• S47Crushing injury of shoulder and upper arm
• S48Traumatic amputation of shoulder and upper arm
• S49Other and unspecified injuries of shoulder and upper arm

S40-S49 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.